HCPCS Level II code L0631 describes a prefabricated lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels extending from the sacrococcygeal junction to the T9 vertebra, designed to produce intracavitary pressure to reduce load on intervertebral discs; the device includes straps, closures, optional padding, shoulder straps, and a pendulous abdomen design, and is customized to fit a patient by trimming, bending, molding, or assembly by a qualified individual. Service type: orthotic device fitting and customization. Typical site of service: outpatient orthotics/prosthetics clinic, durable medical equipment provider, or hospital outpatient department.

For related coverage guidance, see recent payer policy updates: Prior Authorization for Durable Medical Equipment (DME), Continuous Passive Motion (CPM) Devices, Push-Rim Activated Power-Assist Device (E0986) — Manual Wheelchair Accessory.